Payment overview · 2025
General Payments
$15,105.11
27 reported records · 16 companies
Healthcare provider profile · identity verified
Ralph Millett
Allopathic & Osteopathic Physicians|Internal Medicine|Hematology & Oncology · NEW ORLEANS, LA · NPI 1932563152
Verified facts
What the public records show
CMS Open Payments records show Ralph Millett received $15,105.11 in general payments during 2025 across 27 reported records.
Genentech USA, Inc. accounted for 58.5% of that reported general-payment amount.
The Open Payments records used for this analysis explicitly named 17 associated products.
A separate comparison found the same explicitly named product in public Medicare Part D data: Tagrisso.
AstraZeneca Pharmaceuticals LP reported payments to this doctor in 2025. Across the 2025 Open Payments General Payment records loaded for this analysis, that same reporting entity reported TAGRISSO as an associated drug or biological on 5285 records involving 2776 distinct recipient NPIs. Public Medicare Part D data also shows 16 claims for Tagrisso by this doctor in 2024.
These records do not establish that a payment influenced prescribing or medical care.
Separate record types
Research & Ownership
Research Payments (direct recipient): not present in the loaded data
Associated Research Funding (for example, named PI): not present in the loaded data
Ownership / Investment: not present in the loaded data
These categories are never added into the General Payments headline. Associated research funding must not be described as money the doctor personally received unless the source record supports that conclusion.
Who paid this doctor?
Companies in 2025 General Payments
| Reported company | Canonical company | Amount | Share | Records | Year |
|---|---|---|---|---|---|
| Genentech USA, Inc. | Unresolved — no canonical attribution shown | $8,832.74 | 58.5% | 5 | 2025 |
| Daiichi Sankyo Inc. | Unresolved — no canonical attribution shown | $2,085.23 | 13.8% | 6 | 2025 |
| AstraZeneca Pharmaceuticals LP | Unresolved — no canonical attribution shown | $1,920.00 | 12.7% | 1 | 2025 |
| Amgen Inc. | Unresolved — no canonical attribution shown | $1,622.50 | 10.7% | 1 | 2025 |
| Genentech, Inc. | Unresolved — no canonical attribution shown | $306.41 | 2.0% | 2 | 2025 |
| Janssen Biotech, Inc. | Unresolved — no canonical attribution shown | $100.17 | 0.7% | 1 | 2025 |
| E.R. Squibb & Sons, L.L.C. | Unresolved — no canonical attribution shown | $50.53 | 0.3% | 2 | 2025 |
| Astellas Pharma US Inc | Unresolved — no canonical attribution shown | $26.34 | 0.2% | 1 | 2025 |
| Tempus AI, Inc | Unresolved — no canonical attribution shown | $24.63 | 0.2% | 1 | 2025 |
| Merck Sharp & Dohme LLC | Unresolved — no canonical attribution shown | $23.22 | 0.1% | 1 | 2025 |
| ARRAY BIOPHARMA INC | Unresolved — no canonical attribution shown | $20.49 | 0.1% | 1 | 2025 |
| BeiGene USA, Inc. | Unresolved — no canonical attribution shown | $20.11 | 0.1% | 1 | 2025 |
| Celgene Corporation | Unresolved — no canonical attribution shown | $19.78 | 0.1% | 1 | 2025 |
| BeOne Medicines USA, Inc. | Unresolved — no canonical attribution shown | $19.52 | 0.1% | 1 | 2025 |
| PFIZER INC. | Unresolved — no canonical attribution shown | $18.90 | 0.1% | 1 | 2025 |
| Novocure Inc. | Unresolved — no canonical attribution shown | $14.54 | 0.1% | 1 | 2025 |
What were the payments for?
Payment categories
| Category | Amount | Records |
|---|---|---|
| Consulting Fee | $13,487.50 | 5 |
| Food and Beverage | $948.28 | 19 |
| Travel and Lodging | $569.58 | 2 |
| Education | $99.75 | 1 |
A meal, consulting fee, royalty, and travel payment describe different kinds of reported relationships and should not be interpreted as equivalent.
Analysis 1 · Payment-linked products
Products named in Open Payments records
| Reported product | Type | Reported company | Related amount* | Records | Year |
|---|---|---|---|---|---|
| Enhertu Normalized: enhertu |
Drug | Daiichi Sankyo Inc. | $2,033.55 | 4 | 2025 |
Source payment records
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| TAGRISSO Normalized: tagrisso |
Drug | AstraZeneca Pharmaceuticals LP | $1,920.00 | 1 | 2025 |
Source payment records
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| IMDELLTRA (AMG757) Normalized: imdelltra amg757 |
Biological | Amgen Inc. | $1,622.50 | 1 | 2025 |
Source payment records
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| RYBREVANT Normalized: rybrevant |
Drug | Janssen Biotech, Inc. | $100.17 | 1 | 2025 |
Source payment records
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| OPDIVO Normalized: opdivo |
Biological | Celgene Corporation, E.R. Squibb & Sons, L.L.C. | $70.31 | 3 | 2025 |
Source payment records
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| DATROWAY Normalized: datroway |
Drug | Daiichi Sankyo Inc. | $51.68 | 2 | 2025 |
Source payment records
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| BRUKINSA Normalized: brukinsa |
Drug | BeOne Medicines USA, Inc., BeiGene USA, Inc. | $39.63 | 2 | 2025 |
Source payment records
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| Padcev Normalized: padcev |
Drug | Astellas Pharma US Inc | $26.34 | 1 | 2025 |
Source payment records
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| XT CDX Normalized: xt cdx |
Device | Tempus AI, Inc | $24.63 | 1 | 2025 |
Source payment records
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| KEYTRUDA Normalized: keytruda |
Biological | Merck Sharp & Dohme LLC | $23.22 | 1 | 2025 |
Source payment records
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| KEYTRUDA QLEX Normalized: keytruda qlex |
Biological | Merck Sharp & Dohme LLC | $23.22 | 1 | 2025 |
Source payment records
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| BRAFTOVI Normalized: braftovi |
Drug | ARRAY BIOPHARMA INC | $20.49 | 1 | 2025 |
Source payment records
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| LORBRENA Normalized: lorbrena |
Drug | ARRAY BIOPHARMA INC | $20.49 | 1 | 2025 |
Source payment records
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| ORGOVYX Normalized: orgovyx |
Drug | PFIZER INC. | $18.90 | 1 | 2025 |
Source payment records
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| TALZENNA Normalized: talzenna |
Drug | PFIZER INC. | $18.90 | 1 | 2025 |
Source payment records
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| XTANDI Normalized: xtandi |
Drug | PFIZER INC. | $18.90 | 1 | 2025 |
Source payment records
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| Optune Lua (NovoTTF-200T) Normalized: optune lua novottf 200t |
Device | Novocure Inc. | $14.54 | 1 | 2025 |
Source payment records
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* Product-associated amounts are non-additive because one payment record may name more than one product.
These products were named on specific Open Payments records. A named product does not show that the payment influenced treatment or prescribing.
Public prescribing for products named in payments
| Open Payments product | Payment year | Part D brand | Part D year | Claims | Match method | Source |
|---|---|---|---|---|---|---|
| TAGRISSO tagrisso |
2025 | Tagrisso | 2024 | 16 Beneficiary count suppressed |
exact normalized | Medicare Part D |
The presence of the same drug in both datasets does not show that a payment caused or influenced a prescription.
Analysis 2 · Same-company prescribing overlap
Drugs reported in other payments from the same company that also appear in Medicare Part D
This analysis is independent from products named on this doctor’s individual payment records. A row appears only when the exact Open Payments reporting entity paid this doctor, that same reporting entity reported the drug or biological on at least 10 loaded General Payment records involving at least 2 distinct recipient NPIs, and this doctor has the same non-generic brand in public Part D data. This does not mean the company owns or manufactures the drug.
| Paying company | Payment year | Drug reported by same entity | Open Payments evidence | Part D | Claims | Beneficiaries |
|---|---|---|---|---|---|---|
| AstraZeneca Pharmaceuticals LP Exact reporting entity; no affiliate inference |
2025 | TAGRISSO open payments reported associated product |
CMS Open Payments — General Payments 5285 supporting records · 2776 recipient NPIs · example record 1206131546 |
Tagrisso · 2024 Exact normalized brand match · 1 Part D row |
16 | suppressed by CMS |
These facts do not show that a payment was for the drug, that the company owns or manufactures the drug, or that a payment caused or influenced prescribing.
Public Medicare Part D data
Provider-and-drug rows loaded for 2024
| Brand | Generic | Claims | Beneficiaries |
|---|---|---|---|
| Dexamethasone | Dexamethasone | 87 | 35 |
| Olanzapine | Olanzapine | 70 | 38 |
| Prochlorperazine Maleate | Prochlorperazine Maleate | 47 | 34 |
| Prednisone | Prednisone | 32 | 11 |
| Albuterol Sulfate Hfa | Albuterol Sulfate | 23 | suppressed |
| Levothyroxine Sodium | Levothyroxine Sodium | 22 | suppressed |
| Oxycodone Hcl | Oxycodone Hcl | 17 | suppressed |
| Tagrisso | Osimertinib Mesylate | 16 | suppressed |
| Potassium Chloride | Potassium Chloride | 15 | suppressed |
| Duloxetine Hcl | Duloxetine Hcl | 13 | suppressed |
| Doxycycline Hyclate | Doxycycline Hyclate | 12 | suppressed |
| Famotidine | Famotidine | 11 | suppressed |
| Folic Acid | Folic Acid | 11 | suppressed |
| Hydrocortisone | Hydrocortisone | 11 | suppressed |
| Ondansetron Odt | Ondansetron | 11 | suppressed |
| Pantoprazole Sodium | Pantoprazole Sodium | 11 | suppressed |
Timeline
Payment and prescribing data by year
Open Payments and Medicare Part D may refer to different years. They are shown separately rather than aligned as if they describe the same period.
| Year | General Payments | Main payer | Explicit products | Company overlaps | Part D coverage |
|---|---|---|---|---|---|
| 2025 | $15,105.11 · 27 records | Genentech USA, Inc. | BRAFTOVI, BRUKINSA, DATROWAY, Enhertu, IMDELLTRA (AMG757), KEYTRUDA, KEYTRUDA QLEX, LORBRENA, OPDIVO, ORGOVYX, Optune Lua (NovoTTF-200T), Padcev, RYBREVANT, TAGRISSO, TALZENNA, XT CDX, XTANDI | 1 | — |
| 2024 | — | — | — | — | Complete |
Questions to ask
Questions you could discuss with your doctor
- What role, if any, does Tagrisso play in your treatment recommendations for me?
- How do you evaluate evidence when you have a financial relationship with AstraZeneca Pharmaceuticals LP?
- Are there reasonable alternatives I should understand when we discuss treatment options?
- How should I interpret the industry-payment records shown here in the context of my care?
These are general questions generated from reviewed templates. They are not personalized medical advice.
Sources and limitations
How to read this page
- Payment and Medicare prescribing data can cover different years; every comparison shows both years explicitly.
- Part D does not represent a doctor’s entire practice; it excludes many patients and is subject to CMS public-release thresholds.
- Company–drug relationships must have an auditable source, a precise relationship type, and a valid evidence period. Unresolved mappings are not published.
- Generic drug claims are not attributed to a specific manufacturer without manufacturer-level evidence.
- When a source extract is incomplete, missing rows are never treated as proof of no payments or no prescriptions.
Loaded source releases
| Dataset | Year | Publication | Source |
|---|---|---|---|
| CMS Open Payments — General Payments | 2025 | 2026-06-30 | Original source |
| Medicare Part D Prescribers by Provider and Drug | 2024 | 2026-05-06 | Original source |
| NPPES Data Dissemination V2 | current / reference data | 2026-08-10 | Original source |
Full methodology · Questions & answers · Report a possible error